Provider Demographics
NPI:1184991275
Name:SCHIANO, DIANE J (PHD, MACP (2012))
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:J
Last Name:SCHIANO
Suffix:
Gender:F
Credentials:PHD, MACP (2012)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2673 ALPINE RD
Mailing Address - Street 2:
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-6365
Mailing Address - Country:US
Mailing Address - Phone:650-854-1948
Mailing Address - Fax:650-854-1948
Practice Address - Street 1:2673 ALPINE RD
Practice Address - Street 2:
Practice Address - City:PORTOLA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94028-6365
Practice Address - Country:US
Practice Address - Phone:650-854-1948
Practice Address - Fax:650-854-1948
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor